Provider Demographics
NPI:1659971364
Name:KPMC GROUP INC
Entity Type:Organization
Organization Name:KPMC GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YASIN AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-869-3846
Mailing Address - Street 1:223 SOUTH 69TH ST
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082
Mailing Address - Country:US
Mailing Address - Phone:215-869-3846
Mailing Address - Fax:484-461-8928
Practice Address - Street 1:223 SOUTH 69TH ST
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082
Practice Address - Country:US
Practice Address - Phone:215-869-3846
Practice Address - Fax:484-461-8928
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL FAMILY HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care